Individual provider Active NPI

Lisa M Kelsen, FNP-BC

  • Family Nurse Practitioner
  • Lewiston, ME
National Provider Identifier
1609801729
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP08137 Issued in ME
Practice address
10 High St Ste 103
Lewiston, ME 04240
Phone
(207) 795-2310
Fax
(207) 753-7647
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP08137 ME Primary

Addresses

Primary practice location

10 High St Ste 103
Lewiston, ME 04240

Mailing address

10 High St Ste 103
Lewiston, ME 04240-7640
Phone (207) 795-2310

Other identifiers 1

IdentifierTypeStateIssuer
CL 9107MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130712000015 ME Practitioner - Nurse Practitioner 5193892651 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

10 High St
Suite 301
Lewiston, ME 04240-7656
Phone (207) 795-8385

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Merit-based Incentive Payment System (MIPS)

Final score
75.94 of 100Reported as group
Quality
47.72
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
973AKMDDental Hygienist
CNP08137MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgton Hospital CurrentSince May 1, 2017 Accepting new patients
Rumford Hospital CurrentSince May 1, 2017 Accepting new patients
Bridgton Hospital CurrentSince May 1, 2017 Accepting new patients
Central Maine Medical Center CurrentSince May 1, 2017 Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Rumford Community Family Health Center, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Central Maine Medical Center CurrentSince May 1, 2017 Accepting new patients
Rumford Hospital CurrentSince May 1, 2017 Accepting new patients
Yakutat Community Health Center PastSince Sep 25, 2022 Accepting new patients

Locations

15 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-3421

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

146 Weld St
Dixfield, ME 04224
Phone (207) 562-4226

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

10 High St
Ste 301
Lewiston, ME 04240
Phone (207) 782-5105

10 High St
Ste 103
Lewiston, ME 04240
Phone (207) 784-3480

430 Franklin St
Rumford, ME 04276
Phone (207) 369-0146

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609801729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HIGH ST STE 103",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407640",
            "telephone_number": "207-795-2310",
            "fax_number": "207-753-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HIGH ST STE 103",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-795-2310",
            "fax_number": "207-753-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP08137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CL 9107",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.